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General NPI Number Information
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NPI Number | 1003143496
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Entity Type | Organization
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Legal Business Name | ACCESS MEDICAL MANAGEMENT, INC.
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 3408 MILLER RD SUITE 301
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City | KALAMAZOO
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State | MI
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Zip | 49001-4111
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Country | US
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Telephone | 269-720-9702
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Fax | 269-350-5030
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Provider Business Mailing Address
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Address Line | 3408 MILLER RD SUITE 301
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City | KALAMAZOO
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State | MI
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Zip | 49001-4111
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Country | US
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Telephone | 269-720-9702
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Fax | 269-350-5030
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL ALAN YANCON
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Credential |
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Telephone | 269-720-9702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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